| NPI | 1750527917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: LA 325317) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX N2971) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: TX N2971) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2021-03-08 |